CPT code 33241: ICD generator removal, generator only2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $184.24 for 33241 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33241 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33241 covers

Code 33241 covers removal of the pulse generator from an implanted cardioverter-defibrillator (ICD), with the leads left in place. An electrophysiologist or cardiac surgeon typically opens the device pocket, disconnects the generator, and removes it in a hospital operating room or electrophysiology suite. Situations may include a decision to discontinue ICD therapy or a planned removal without immediate replacement.

Use this code for generator removal alone, not for a same-session generator replacement; select the applicable replacement code based on the lead configuration when a new generator is implanted. The operative report should identify the ICD, explain the removal, and document whether leads were retained or separately extracted. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate for this single-generator service. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How North Carolina compares for 33241

Across 109 of 109 payment localities, the facility rate for 33241 runs from $175.75 in Arkansas to $241.58 in Alaska. North Carolina pays $184.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33241 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33241 in every payment locality

How the 33241 rate is calculated

Each of 33241’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 33241

33241 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 33241

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33241 has changed in North Carolina

Price 33241 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates